NR 325 Exam 1 2023
What are some signs and symptoms of hypothyroidism? Whats another name for
hypothyroidism? - CORRECT ANSWERSHashimotos
Everything is low and slow
- Weight gain
- Cold intolerant
- Depressed, fatigue
- Bradycardia
- Constipation
- Hair loss, dry skin
What can happen if hypothyroidism progresses - CORRECT ANSWERSMyxedema
Patient will need:
- Mechanical ventilation
- Cardiac monitoring
- Monitor temperature
What medication would we give to a patient with hypothyrodism?
How should we give the medication? - CORRECT ANSWERSSynthroid
(Levothyroxine)
- Should be given in the morning before meals
- Take independently before anything else
What is hyperthyroidism? What are some signs and symptoms?
What is another name for hyperthyroidism - CORRECT ANSWERSGraves disease
Everything is really fast.
- Tachycardia
- Intolerant to heat; hot and sweaty
- Weight loss
- Budging of the eyes, exopthalamos
- Moon face
- Buffalo hump and red face
What can hyperthyroidism lead to? - CORRECT ANSWERSThyroid ström
Watch for agitation and confusion
What medications and treatments can we do to treat hyperthyroidism? - CORRECT
ANSWERSMedications
- PTU: Propylthiouracil
- Methimazole (Tapzole)
- Beta blockers (olol)
Treatment
- Radioactive Iodine
, What are we concerned with when a patient is reciting radioactive iodine for treatment
of hyperthyroidism? - CORRECT ANSWERSRadioactive iodine kills the kidney.
Treatment may take months.
- We are worried about kidney function
What lab value would we need to watch if we remove the thyroid? - CORRECT
ANSWERSHypocalcium.
- Trousseaus and Chvostek
The thyroids job is to secrete calcitonin thus if its removed the calcium levels would be
low
What is diabetes insipidus? - CORRECT ANSWERS"Dry inside"
Not enough ADH, pituitary gland
What are signs and symptoms of diabetes insipidus - CORRECT ANSWERSLarge
amounts of dilute urine
Three Ps:
*Polyuria
*Polydipsia
-Peeing out a lot: Dry inside "Dehydrated"
What would you expect the blood and urine osmolarity in a diabetes insipidous patient?
- CORRECT ANSWERS- Decrease urine specific gravity (Less than 1.005)
- Decrease urine osmolarity
- Increase blood osmolarity. Thick serum blood
- Hypernatremia
What medication would we given a patient with Diabetes insipidus? - CORRECT
ANSWERSDesmopression or vasopressin
- Holds in urine
What should we assess in a patient receiving Desmopression or vasopression -
CORRECT ANSWERSHeadaches due to an increase in blood pressure
When should we given Desmopression? - CORRECT ANSWERSGiven at night to
prevent night time urination
For diabetes insipidus patients, what sodium levels is expected? - CORRECT
ANSWERSHypernatreamia because the patient is dehydrated.
What is SIADH? What are we worried about? - CORRECT ANSWERS"Soaked inside"
What are some signs and symptoms of hypothyroidism? Whats another name for
hypothyroidism? - CORRECT ANSWERSHashimotos
Everything is low and slow
- Weight gain
- Cold intolerant
- Depressed, fatigue
- Bradycardia
- Constipation
- Hair loss, dry skin
What can happen if hypothyroidism progresses - CORRECT ANSWERSMyxedema
Patient will need:
- Mechanical ventilation
- Cardiac monitoring
- Monitor temperature
What medication would we give to a patient with hypothyrodism?
How should we give the medication? - CORRECT ANSWERSSynthroid
(Levothyroxine)
- Should be given in the morning before meals
- Take independently before anything else
What is hyperthyroidism? What are some signs and symptoms?
What is another name for hyperthyroidism - CORRECT ANSWERSGraves disease
Everything is really fast.
- Tachycardia
- Intolerant to heat; hot and sweaty
- Weight loss
- Budging of the eyes, exopthalamos
- Moon face
- Buffalo hump and red face
What can hyperthyroidism lead to? - CORRECT ANSWERSThyroid ström
Watch for agitation and confusion
What medications and treatments can we do to treat hyperthyroidism? - CORRECT
ANSWERSMedications
- PTU: Propylthiouracil
- Methimazole (Tapzole)
- Beta blockers (olol)
Treatment
- Radioactive Iodine
, What are we concerned with when a patient is reciting radioactive iodine for treatment
of hyperthyroidism? - CORRECT ANSWERSRadioactive iodine kills the kidney.
Treatment may take months.
- We are worried about kidney function
What lab value would we need to watch if we remove the thyroid? - CORRECT
ANSWERSHypocalcium.
- Trousseaus and Chvostek
The thyroids job is to secrete calcitonin thus if its removed the calcium levels would be
low
What is diabetes insipidus? - CORRECT ANSWERS"Dry inside"
Not enough ADH, pituitary gland
What are signs and symptoms of diabetes insipidus - CORRECT ANSWERSLarge
amounts of dilute urine
Three Ps:
*Polyuria
*Polydipsia
-Peeing out a lot: Dry inside "Dehydrated"
What would you expect the blood and urine osmolarity in a diabetes insipidous patient?
- CORRECT ANSWERS- Decrease urine specific gravity (Less than 1.005)
- Decrease urine osmolarity
- Increase blood osmolarity. Thick serum blood
- Hypernatremia
What medication would we given a patient with Diabetes insipidus? - CORRECT
ANSWERSDesmopression or vasopressin
- Holds in urine
What should we assess in a patient receiving Desmopression or vasopression -
CORRECT ANSWERSHeadaches due to an increase in blood pressure
When should we given Desmopression? - CORRECT ANSWERSGiven at night to
prevent night time urination
For diabetes insipidus patients, what sodium levels is expected? - CORRECT
ANSWERSHypernatreamia because the patient is dehydrated.
What is SIADH? What are we worried about? - CORRECT ANSWERS"Soaked inside"
